Dan Avenaim, MA, LPC, LMFT
Individual provider Active NPI Professional Counselor · Olathe, KS
NPI 1124251392 · NPPES record last updated Sep 3, 2009
Key facts
- NPI
- 1124251392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2065 (KS)
- Practice address
- 21350 W 153Rd St
Olathe, KS 66061-5413 - Phone
- (913) 322-2400
- Fax
- (913) 621-5730
- NPI assigned
- Sep 3, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2065 | KS | MD | Professional Counselor |
| 1047 | KS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2065 | KS | Yes |
| Marriage & Family Therapist | 106H00000X | 1047 | KS |
Addresses
Primary practice location
21350 W 153Rd St
Olathe, KS 66061-5413
Mailing address
21350 W 153Rd St
Olathe, KS 66061-5413
Phone (913) 322-2400
Other providers in Olathe, KS
- Audacity Business Solutions LLC
- Kevin Audley
- Autism & Developmental Youth Services LLC
- Autism Enhancement, LLC
- Avalon Home Health, Inc.
- Avenues to Recovery
- Elias N Awad
- Awakenings Counseling Associates
- Rabia Azam
- Inna Babayeva
All providers in Olathe, KS · Professional Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.